34D2176849 CLIA NUMBER - RENULIFE, LLC

Laboratory Demographics

  • CLIA Code: 34D2176849
  • Facility Name: RENULIFE, LLC
  • Facility Address: 304 SOUTH PINEVIEW AVENUE
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 734-0266
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: CARI L. HARRISON CRUSE
  • NPI Number: 1073712428
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2176849
LAB Type Other - GROUP HOME
Facility Name RENULIFE, LLC
Street 304 SOUTH PINEVIEW AVENUE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 734-0266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Other - GROUP HOME
Lab Director CARI L. HARRISON CRUSE

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This page was last updated on: 9/29/2025